Tampa Endocrinology Institute, Llc | |
2111 W Swann Ave Ste 204 Tampa FL 33606-2478 | |
(813) 360-1214 | |
Not Available |
Full Name | Tampa Endocrinology Institute, Llc |
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Speciality | Internal Medicine |
Location | 2111 W Swann Ave Ste 204, Tampa, Florida |
Authorized Official Name and Position | Asma Al-zougbi (OWNER) |
Authorized Official Contact | 8133354939 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tampa Endocrinology Institute, Llc 57 Aegean Ave Tampa FL 33606-3342 Ph: (813) 360-1214 | Tampa Endocrinology Institute, Llc 2111 W Swann Ave Ste 204 Tampa FL 33606-2478 Ph: (813) 360-1214 |
NPI Number | 1326740937 |
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Provider Enumeration Date | 03/20/2023 |
Last Update Date | 03/27/2024 |
Medicare PECOS PAC ID | 2567837990 |
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Medicare Enrollment ID | O20230417001357 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326740937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Asma Al-zougbi |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1679861405 PECOS PAC ID: 1951528637 Enrollment ID: I20210806002189 |
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